CAJ | 학술논문

目的：探讨功能性鼻窦内窥镜手术治疗儿童慢性鼻窦炎的疗效及有关影响因素。方法：对1996年5月～1 999年1月接受功能性鼻窦内窥镜手术并完成随访1年以上、有完整病历记录的儿童慢性鼻窦炎和鼻息肉患者31例进行回顾性分析。结果：按照FESS-97海口疗效评定标准，31例中治愈12例(38．7％)，好转15例(48．4％)，无效4例(12．9％)．总有效率为87．1％，均无严重并发症发生。结论：经鼻内窥镜手术是治疗儿童慢性鼻窦炎、鼻息肉的有效方法，术后仔细换药和综合治疗是提高治愈率的重要步骤。．
목적：탐토공능성비두내규경수술치료인동만성비두염적료효급유관영향인소。방법：대1996년5월～1 999년1월접수공능성비두내규경수술병완성수방1년이상、유완정병력기록적인동만성비두염화비식육환자31례진행회고성분석。결과：안조FESS-97해구료효평정표준，31례중치유12례(38．7％)，호전15례(48．4％)，무효4례(12．9％)．총유효솔위87．1％，균무엄중병발증발생。결론：경비내규경수술시치료인동만성비두염、비식육적유효방법，술후자세환약화종합치료시제고치유솔적중요보취。．
Objective :To explore the curative effect of endoscopic sinus surgery (ESS) and the factors associ-ated with surgery effect for treating children with chronic sinusitis. Method :Thirty-one children with a medianage of 10 years (range 5～14 years) who suffered from chronic sinusitis or/and nasal polyps and were operatedvia ESS from May 1996 to January 1999 were retrospectively analyzed. Result:According to the therapeutic evalu-ation standard (ESS-199 7, Haikou ), twelve cases (38.7 ％ ) were completely cured, fifteen cases (48.4 ％0 ) wereinproved and four children (12.9 ％ ) showed no change with a general effective rate of 87.1 ％00 without any severeoperative complication. Conclusion:The results suggested ESS is a safe and effective method in the treatment ofchildren with chronic sinusitis or/and nasal polyps. Furthermore, meticulous postoperative endoscopic care andmedication are also important for securing optimal long-term results.